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Design2►,.,d Underground Storage Tank (US*Operator <br /> Monthly Visual Inspection Checklist <br /> FacilityName: YRC 813 Date: 11/06/2009 <br /> Facility Address: 1535 E PESCADERO AVE <br /> City: TRACY Zip Code: 95304 <br /> Designated UST Operator Conducting the Inspection: - DROLLINS <br /> International Code Council Certification#: 8011610UC Expiration Date: 05/30/2011 <br /> Signature: ( ((-y,ns Phone: (209) 993-7946 <br /> Y=Yes,N=No,NA=Not Applicable <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> 1 <br /> -Monitoring system is powered on and in proper operating mode. X <br /> 2 Monitoring system is not currently showing any alarms or warnings. X <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the X <br /> Designated UST Operator. Attach a copy of the alarm history report/logreporillog to this form if available. <br /> 4 Each alarm for the previous month has been responded to appropriately. X <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> Sa - List all tank-top sumps where alarms occurred in the past month: <br /> L3 FUEL ALARM 10/13 LlI SENSOROUT/FUEL 10/6 L14 FUEL 10/13 <br /> Note:Sumps where an alarm has occurred in the last month must be inspected unless a qualified service technician responded to,and <br /> properly addressed,the cause of the alarm.Attach documentation ver Eying appropriate service to this report. <br /> If sump inspection is required,record results in item 6,below. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are flue of water,debris,and hazardous substance.Sensors are located properly. <br /> >Note: Visual inspection ofsumps is only required in sumps where an alarm has occurred in the past mouth jar which there is no service record. <br /> YN Y <br /> Sum Location: T1 X Sum Location: <br /> Sum Location: T6 X Sum Location: <br /> Sum Location: Sum Location: <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA Y NJ <br /> Tank 1 - Contents: WASTE OIL X I Tank 3-Contents: ANTIFREEZE X <br /> Tank 2- Contents: WASTE OIL X I Tank 4-Contents: NEW OIL X <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N I NA I Y N NA <br /> Dispenser 1/2 X Dispenser 9/10 X <br /> Dispenser 3/4 X Dis enser 11/12 X <br /> Dispenser 5/6 X Dis enser 13114 X <br /> Dispenser 7/8 X Dis enser 15/16 I I X <br /> PAPERWORK INSPECTION Y N NA DATE DONE <br /> 9 Monitoring system certification has been completed within past 12 months. x 04/22/2009 <br /> 10 Secondary containment tests have been completed within the required timeframe. X / / <br /> H Spill containment structure bucket testing was completed within the past year. X 04/22/2009 <br /> 12 Tank tightness testing was completed within the required timeframe. X / / <br /> 13 Line tightness testing was completed within the required timeframe. X 01/21/2009 <br /> 14 Other required testing/maintenance was completed within required timeframe. ist test/maintenance items below. <br /> Test/Maintenance: X <br /> Test/Maintenance: X <br /> Test/Maintenance: X <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 All facility employees have received the the required on-the-job training within the past year. X <br /> 16 All facility employees hired within the past 30 days have received the the re uired on-the-'ob training. X <br /> Note: Any answer of"N" should be explained in the comment section on the following page,and will require <br /> follow-up action. <br /> WO#: 2270177 Page 1 of 2 November 2004 <br />